Individual provider · Type 1 NPI

Michele Dawn Johnson, APN

Adult Health Nurse Practitioner · Rockford, IL

NPI number 1407039167 Active

Practice location

3775 N Mulford Rd
Rockford, IL 61114-5632

Mailing address

8870 Polaris Dr
Machesney Park, IL 61115-2258

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X209.006878 (IL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1407039167

Michele Dawn Johnson, APN's National Provider Identifier is 1407039167, issued on Dec 17, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rockford, IL. The record was last updated on Nov 17, 2021.